| NPI | 1295095669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A162708) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A162708) |
| 207W00000X Ophthalmology (Licence: MD D0083614) | |
| Enumeration Date | 2012-05-20 |
| Last Update Date | 2023-11-19 |